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1003696097
MAGEN BROOKE LUKE
AUGUSTA, GA
NPI
1003696097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA GAA-NP001641)
Enumeration Date
2023-10-05
Last Update Date
2023-10-05
Business Address
MAGEN BROOKE LUKE
3675 J DEWEY GRAY CIR STE 300
AUGUSTA, GA 30909-1868
Phone number: 706-863-9595
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Mailing Address
MAGEN BROOKE LUKE
PO BOX 3726
AUGUSTA, GA 30914-3726
Phone number: 706-863-9595
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